Organization Active NPI

Nra-McMinnville, Tennessee, LLC

Doing business as U.S. Renal Care McMinnville Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • McMinnville, TN
National Provider Identifier
1982641825
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
0000000157 Issued in TN
Legal business name
NRA-MCMINNVILLE, TENNESSEE, LLC
Doing business as
U.S. Renal Care McMinnville Dialysis
Practice address
1524 Sparta St
MC Minnville, TN 37110-1317
Phone
(931) 507-5700
Fax
(931) 507-5704
NPI assigned
May 31, 2006
Last updated
Feb 16, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
U.S. RENAL CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas L. Weinberg
Title
Authorized Official
Phone
(214) 736-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 0000000157 TN Primary

Addresses

Primary practice location

1524 Sparta St
MC Minnville, TN 37110-1317

Mailing address

PO Box 251549
Plano, TX 75025-1500

Other names 1

  • U.S. Renal Care McMinnville Dialysis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051201000692 TN Part A Provider - End-Stage Renal Disease Facility (ESRD) 4789604000 Practice locations: McMinnville, TN

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Usrc McMinnville DialysisCCN 442663
Overall star rating
4.0 of 5
Ownership
Profit
Certified
Mar 24, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Chain
US Renal Care, Inc.
Dialysis stations
16

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1049061Nra-McMinnville, Tennessee, LLC1524 Sparta Street, McMinnville, TN 37110Certificate of waiverDec 20, 2027

National Provider Directory

National Provider Directory
Part of
US Renal Care Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1982641825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251549",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 SPARTA ST",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371101317",
            "telephone_number": "931-507-5700",
            "fax_number": "931-507-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NRA-MCMINNVILLE, TENNESSEE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2006-05-31",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TN",
            "license": "0000000157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care McMinnville Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "U.S. Renal Care McMinnville Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McMinnville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.